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Individual

DR. MARK DEWALD BOBBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
110 LIBERTY ST, BROCKTON, MA 02301-5674
(508) 565-3275
Mailing address
110 LIBERTY ST, BROCKTON, MA 02301-5674
(508) 565-3275

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
253912
MA

Other

Enumeration date
10/16/2012
Last updated
11/13/2024
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